R24, 2024-03-29

NOTE: Aquatic Center Inc. does not accept paper waivers, please submit electronically.

Aquatic Center Inc. Repair Authorization




Was the vehicle purchased here?
 

If no, then please write 

Please check desired Estimate of services:






Estimated Parts & Labor _____________________________

Person Notified __________________________________

Date & Time of Notification __________________________

Employee Name __________________________________

For repairs not listed above or warranty, does customer want a written estimate: faxed mailed in person not necessary emailed

The term vehicle and or property includes, but is not limited to, boats, watercrafts, ATVs, UTVs, motorcycles, scooters, lawn mowers, generators, kayaks, paddleboards, engines, parts, accessories, equipment and or any other vehicles or property that we service. I hereby authorize the AQUATIC CENTER INC. to do the repair work as herein described with necessary parts to be listed at the AQUATIC CENTER INC.’s prices. I agree to pay cash on delivery of vehicle or on satisfactory terms to the AQUATIC CENTER INC., and until paid in full, it shall constitute a mechanic’s lien on this vehicle. I further agree that the AQUATIC CENTER INC. will not be responsible for the vehicle or articles left in the vehicle in case of fire, theft, accidents or any other causes. The AQUATIC CENTER INC. makes no expressed or implied warranties, including any implied warranty of merchantability or implied warranty of fitness for a particular purpose and has no obligation with respect to the property sold or repaired, except as may appear in writing herein. I shall be limited to the warranties if any of the respective manufacturers of the property. All work warranted ten (10) days after completion or work. I hereby release and absolve the AQUATIC CENTER INC., its employees and agents from any and all causes, claims or liability arising or which may arise from any work or repairs performed by the AQUATIC CENTER INC. and or subcontractors. I understand that installation of aftermarket parts will make my vehicle less reliable and can cause severe damage to my vehicle. The AQUATIC CENTER INC. may operate my vehicle for the purposes of testing, inspection or delivery at my own risk. All accounts are due and payable within 30 days of purchase. A finance charge of 2% per month will be added to past due accounts. I also agree to pay the AQUATIC CENTER INC.’s attorney fees and costs if the AQUATIC CENTER INC. is forced to take legal action to secure payment for services or for any other reason. If my vehicle is left at the AQUATIC CENTER INC. for more than ten (10) days after notified with estimate or service completion, the AQUATIC CENTER INC. may charge me $10 per day for storage. Service prices are subject to change. I agree that the venue of any action shall occur in Garrett County, Maryland.

RELEASE OF LIABILITY AND INDEMNITY: I hereby agree to bind him/herself, his/her heirs, personal representatives and assigns and hereby releases and discharges the AQUATIC CENTER INC., its owners, employees, and agents and assigns from any and all claims, loss, costs, damages, expenses, actions, judgments, and attorney fees, which myself or my heirs, passengers, guests, personal representatives or assigns may have, or claim to have, including but not limited to, for negligence of the AQUATIC CENTER INC., its owners, employees, agents, created by or arising from any repair, service, installation, instruction, inspection, provisioning, use, operation, handling, or transportation of the vehicle and/or equipment by myself or anyone else.

Furthermore, the I hereby agree to defend, indemnify, and hold harmless AQUATIC CENTER INC., its owners, employees, agents, and assigns from any and all claims, damages, demands, costs, losses, expenses, actions, judgments, and attorney fees, which are created or arise out of my or anyone else’s operation of the vehicle and/or equipment. I agree to pay all claims brought by third parties resulting from the operation and/or use of the vehicle and/or equipment, including attorney fees and other costs.

SEVERABILITY: Should any item or condition of this repair authorization agreement be held void or unenforceable, then that item shall be deemed severed from this repair authorization agreement and the enforceability of the remainder shall not be affected and will remain in full force and effect.

MVA Motorcycle Manufacturer Special Policy Adjustment Programs - Federal Law requires manufacturers to furnish the National Highway Safety Administration (N.H.T.S.A.) with bulletins describing any defects in their vehicles. You may obtain these bulletins either from the manufacturer or N.H.T.S.A. In addition, certain consumer publications publish this information, which may be available for a fee or for free.

MVA Motorcycle Consumer’s Rights

  1. A customer may request a written estimate of repairs in excess of $50.
  2. A customer may not be charged any amount ten percent in excess or the written estimate without the customer’s consent.
  3. A customer is entitled to the return of any replaced parts except when parts are required to be returned to the manufacturer under warranty agreements.
  4. Repairs not authorized or requested by the customer may not be charged to the customer without the customer’s consent.
  5. Customer Rights may be given orally, if the vehicle is towed to the repair facility or the facility is not open.



I have read and understand this repair authorization. Authorized by: 

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Signature

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.